Krishna Jaydev Patel (NPI# 1114365350, PAC ID# 8123318607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1114365350 |
| PAC ID by PECOS | 8123318607 |
| Professional Enrollment ID | I20190808003127 |
| Full Name | Krishna Jaydev Patel |
| Organization Legal Name | DIAGNOSTIC IMAGING SERVICES OF CT LLC |
| Address |
565 Long Hill Rd Groton CT 06340-4166 |
| Phone Number | 8604486736 |
| Gender | F |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 2014 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3577465111 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070017 | MIDSTATE MEDICAL CENTER |
| 070035 | THE HOSPITAL OF CENTRAL CONNECTICUT |
| 070024 | WILLIAM W BACKUS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 680 S Main St, Cheshire, CT 06410-3181 | 2036948405 | MERIDEN IMAGING CENTER INC |
| 565 Long Hill Rd, Groton, CT 06340-4166 | 8604486736 | DIAGNOSTIC IMAGING SERVICES OF CT LLC |
| 435 Lewis Ave, Meriden, CT 06451-2101 | 2039492700 | MIDSTATE RADIOLOGY ASSOCIATES, LLC |
| 1 Towne Park Plz, Norwich, CT 06360-2247 | 2039492700 | DIAGNOSTIC IMAGING SERVICES OF CT LLC |
| 326 Washington St, Norwich, CT 06360-2740 | 2039492700 | MIDSTATE RADIOLOGY ASSOCIATES, LLC |
| 863 N Main St Ext, Midstate Imaging Center, Wallingford, CT 06492-2420 | MERIDEN IMAGING CENTER INC |
| Organization Legal Name | DIAGNOSTIC IMAGING SERVICES OF CT LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory G Iafrate | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Jason D Mayo | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Guillermo R Jimenez | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Eric R Gorny | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Jeffrey Takahashi | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Mitesh Trivedi | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Joel Gelber | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| James Carroll | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Jignesh Mahendrakumar Modi | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Felicia A Cuomo | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Street Address |
565 LONG HILL RD |
| City | GROTON |
| State | CT |
| Zip | 06340-4166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory G Iafrate | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Warren M Geruso | Chiropractic | Advanced Back and Neck Care Center LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Jason D Mayo | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Guillermo R Jimenez | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Eric R Gorny | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Jeffrey Takahashi | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Mitesh Trivedi | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Joel Gelber | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| James Carroll | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Jignesh Mahendrakumar Modi | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward E Hutter | Chiropractic | 1353 Gold Star Hwy, Suite 106, Gronton, CT 06340-2755 | |
| Christopher D Deveau | Chiropractic | 1353 Gold Star Hwy 106, Groton, CT 06340-2755 | |
| Charles Wallace Andrias | Cardiovascular Disease (cardiology) | 235 Lestertown Rd, Groton, CT 06340-2808 | |
| Laura A Watts | Family Medicine | Prohealth Physicians PC | 85 Poheganut Dr, Groton, CT 06340-3252 |
| Darren Jay Courtright | Podiatry | Shoreline Foot and Ankle Center, PC | 85 Poheganut Dr, Suite 3, Groton, CT 06340-3252 |
| Nina Erlanger | Nurse Practitioner | Prohealth Physicians PC | 85 Poheganut Dr, Groton, CT 06340-3252 |
| Sonya Lisa Marshall | Podiatry | Shoreline Foot and Ankle Center, PC | 85 Poheganut Dr, Suite 3, Groton, CT 06340-3252 |
| Patricia C Mcivor | Family Medicine | Prohealth Physicians PC | 85 Poheganut Dr, Groton, CT 06340-3252 |
| Avis G Marleau-webb | Certified Registered Nurse Anesthetist | Anesthesia Associates of New London, PC | 52 Hazelnut Ctr, Groton, CT 06340-3268 |
| Daniela Shvetsov | Physician Assistant | Urgent Care Medical Associates, LLC | 220 Route 12, Groton, CT 06340-3414 |
| Find all physicians in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GROTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Krishna Jaydev Patel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.